Forms

Registration:

Name:____________________________ Age:__________

Adress:_________________________________________

Phone:_________________________________________

Mobile:________________________________________

Emergency Contact Info: Other party who may be contacted in case of an emergency.______________________________

__________________________________________________________________________

Allergies/Medical or Physical limitations: _______________________________________________________________________________________________________________

I______________________ as parent or as an authorized legal guardian, teacher or agent for ______________________________the undersigned minor(s)and other parties herein named do hereby waive and release Deep Sigh Horse Farm & Riding Academy, herein after referred to as DSHF , the ownership, management, agents, staff, landlords and or interested parties and agents, from all liability and expense, without limitation and without regard to the cause or causes for actual or alleged claims, damages and injuries, that may occur to the minor child(ren) herein named while on the premises of either DSHF or during the participation in the events or activities held at the business locations of either company. and their member organizations affiliates, servants, staff or other employees

I further agree to indemnify and hold harmless DSHF, the ownership, management, agents, staff, interested parties and their member organizations, affiliates, or other employees and agents harmless, without limitation as to the amount against all liabilities, claims, causes of action and demands for personal injuries, damages or any claim of whatever nature or kind accruing to myself and or the minor child(ren) together or my heirs and assigns together with any resulting costs and legal fees arising out of or caused by any act of omission of alleged act or omission including negligent acts or omissions of DSHF and ownership, management, agents, staff, interested parties and their member organizations, affiliates, or other employees and agents thereof; occurring while on premises for this event, this agreement to hold harmless specifically and expressly includes without limitation liabilities, claims causes of action and demands for personal injuries, property damages and or other claim of whatever nature or kind by or allegedly caused in whole or part by the acts either negligent , grossly negligent or omissions of acts construed as negligent by DSHF and or , ownership, management, agents, staff, interested parties and their member organizations, affiliates, or other employees and agents.

By my signature here below I assume all financial responsibility and personal liability for any injuries that may occur while on these premises or during this event or any activity promoted, conducted, held or coordinated by DSHF or, its ownership, management, employees, affiliates or assignees.

Authorized legal guardian/agent:_________________________________________

Child (ren) attending event: _______________________________

_______________________________________________________

ALL ACTIVIES ON THESE GROUNDS ARE SUBJECT TO INHERENT RISK LAW: Article7, Chapter 9 of Title 47 Code of Laws of South Carolina 1976.

Under South Carolina Law, an equine activity sponsor or equine professional is not liable for an injury or death of a participant in equine activities resulting from the inherent risk of equine activities, Pursuant to Article 7 , Chapter of 9, Title 47 Code of Laws of South Carolina 1976.

Date of Ride requested : ____________________________________________

____________________________________________

Style of riding preferred:

( ) English

( ) Western

Child Name:___________________________________________

Parent Signature:_______________________________________

Date:_________________________________________________

Please return with your check to reserve you dates.

Late registrations will be subject to availability .